Analysis on 20 cases with retreatment of smear-positive pulmonary tuberculosis complicated by diabetes mellitus

Objective To analyse the clinical characteristics of retreatment smear-positive pulmonary tuberculosis complicated by diabetes mellitus,and to find case earlier and improve treatment effect.Methods The retrospective analysis has been taken on the epidemic features,photographic methods,laboratory test results and treatment effect of 20 cases with pulmonary tuberculosis complicating diabetes treated in Tongzhou District conter for Disease Control and Pneven tion dring 2001 to 2011.Results The case with retreatment positive pulmonary tuberculosis complicated by diabetes mellitus had clinical characteristics as follows:maincy agecl 40 or abooe extensive lesion,easy to form cavity,much mycobacteria in sputum,slow sputum negative conversion high rates of drug resistance,and poor lesion absorption.Conclusions The patients with retreatment smear-positive of pulmonary tuberculosis complicated by diabetes mellitus show specific clinical characteristics. Strict control glycemia,drug-sensitivity test and reasonable antituberculous treatment should be taken into account.